The holder whose full name is BRUEGGE, THEODORE J,come from SUN CITY AZ,hold the Physician license(NO.01013337A) which status is Expired Non-Renewable.
Name | BRUEGGE, THEODORE J |
---|---|
License Number | 01013337A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SUN CITY |
State | AZ |